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Advocacy. Expertise. Service.
Senior Manager, Pharmacy Pricing
Location
Alabama
Posted
102 days ago
Salary
$136K - $170K / year
Seniority
Senior
Job Description
Senior Manager, Pharmacy Pricing
RxBenefits, Inc.
• In this multi-disciplinary, cross functional role, the Manager, Pharmacy Pricing will report to the Director, Pharmacy Pricing & Analytics. • The Manager, Pharmacy Pricing is a leader and key contributor to the financial reporting and client retention process. • This role is responsible for leading the team that executes, updates, and provides strategic direction for existing client pricing. • The team also assists with resolving client issues involving performance discrepancies, claims issues, and reporting. • The successful Pharmacy Pricing Senior Manager will be able to manage multiple projects at once, lead a team, and champion our mission and culture. • Essential Job Responsibilities Include: End to end management of existing client pricing, analytics, and reporting. • Leadership of the pricing team, consisting of up to 10 direct reports. • This includes providing training, day-to-day direction, strategic vision, and mentoring/growth to all team members. • Ability to lead with influence across internal stakeholders to foster collaborative and efficient work products. • Review for accuracy and finalize all current account pricing comparisons for submission. • Provide strategic insight and support the AM and Deal Governance teams for At-Risk accounts. • Manage and support the current account claim and data requests. • Respond to competing PBM offers to show RxBenefits pricing value and defend at-risk accounts. • Prepare quarterly reports associated with financial performance. • Lead the production and delivery of all current account annual renewal reporting (Pricing refresh & comparison). • Support the PBM Pricing Analysts with validating new pricing products in Salesforce. • Perform key audits for new pricing enrollments and monthly contract guarantee performance. • Validate and test updates in SAS associated with pricing and exclusions to maintain reporting accuracy. • Research and analyze discrepancies between projected rebates and payments received. • Act as point of contact for the PBM partners to resolve pricing discrepancies. • Model pricing improvements related to PBM negotiations for improved renewal pricing and terms. • Identify gaps and opportunities in the current processes for enhanced visibility and efficiency. • Act as a cross-functional representative throughout the organization to provide strategic insight and support organization goals and initiatives. • Lead the development and application of advanced analytics techniques driving operational efficiencies, providing consultative support, enabling informed decision making, and producing KPIs for senior leadership. • Analyze data to uncover potential issues / provide financial impacts. • Provide custom analytics/modeling for ad-hoc projects.
Job Requirements
- 5+ years of actuarial or underwriting experience required
- 5+ years of PBM pricing or RFP experience required, large PBM experience desired
- 5+ years of leadership experience, preferably in PBM or Health Plan setting
- High degree of emotional intelligence
- Expert cross functional interpersonal, communication, and collaborative management skills
- Advanced knowledge of Microsoft Office, Advanced Excel experience required
- Proficient knowledge of SAS, SQL, Snowflake, or other data programming languages
- Strong team building, relationship management, and project management skills
- Independent/self-starting nature
- Process and procedure oriented
- Highly competent problem solver
Benefits
- Remote first work environment
- Choice of a HDHP or PPO Medical plan, we pay 100% of the premium for the HDHP for you and your eligible family members
- Dental, Vision, Short- and Long-Term Disability, and Group Life Insurance that we also pay 100% of premiums (for your family too on Dental and Vision)
- Additional buy-up options for Short- and Long-Term Disability and Life Insurance
- 401(k) with an employer match up to 3.5% available after 60 days
- Community Service Day to give back and support what you love in your community
- 10 company holidays including MLK Day, Juneteenth, and the day after Thanksgiving plus a floating holiday to use as you like
- Reimbursements for high-speed internet, we’ll send you a computer and monitors to help you do your best work
- Tuition Reimbursement for accredited degree programs
- Paid New Parent Leave that can be used for adoption or birth
- Pet insurance to protect your furbabies
- A robust mental health benefit and EAP service through Spring Health to support you when you need it most
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Principal Coronary Renal Denervation Territory Manager - Cleveland, OH
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We anticipate the application window for this opening will close on - 7 Apr 2026 At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You’ll lead with purpose, breaking down barriers to innovation in a more connected, compassionate world. A Day in the Life We are seeking a committed professional to join our team. While this is a remote position not located at a physical Medtronic site, the candidate hired will be required to reside within the territory and drive to multiple accounts throughout the region. A valid driver's license is essential for this role.Bring your sales talents to a leader in medical technology and healthcare solutions. Rooted in our long history of mission-driven innovation, our medical technologies open doors. We support your growth with the training, mentorship, and guidance you need to own your future success. Join us for a career in sales that changes lives. 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